Individual
JENNIFER RENEE MARCIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(469) 863-9551
Mailing address
10585 NW SKYLINE BLVD, PORTLAND, OR 97231-2616
(469) 863-9551
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
391370
OR
251E00000X
Home Health Agency
—
—
Other
Enumeration date
02/12/2018
Last updated
08/19/2020
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